WO2013122681A1 - Dispositif de pression abdomen/bassin circonférentiel - Google Patents

Dispositif de pression abdomen/bassin circonférentiel Download PDF

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Publication number
WO2013122681A1
WO2013122681A1 PCT/US2013/000034 US2013000034W WO2013122681A1 WO 2013122681 A1 WO2013122681 A1 WO 2013122681A1 US 2013000034 W US2013000034 W US 2013000034W WO 2013122681 A1 WO2013122681 A1 WO 2013122681A1
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WO
WIPO (PCT)
Prior art keywords
panel
pocket
patient
ball
abdomen
Prior art date
Application number
PCT/US2013/000034
Other languages
English (en)
Inventor
Mark HAUSWALD
Nancy Louise KERR
David WACHTER
Original Assignee
Stc.Unm
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Stc.Unm filed Critical Stc.Unm
Publication of WO2013122681A1 publication Critical patent/WO2013122681A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/14Bandages or dressings; Absorbent pads specially adapted for the breast or abdomen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/06Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/012Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/02Orthopaedic corsets
    • A61F5/028Braces for providing support to the lower back, e.g. lumbo sacral supports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/30Pressure-pads
    • A61F5/34Pressure pads filled with air or liquid

Definitions

  • the present invention relates to an inexpensive, easy-to-use pneumatic anti-shock device for use by doctors, nurses, paramedics and/or midwives.
  • Aortic compression can be used to treat obstetric hemorrhage (or pelvic trauma) using an open hand, fist, or knee to compress the aorta against the underlying lumbar vertebrae.(l , 2) Prolonged compression is difficult, however, when personnel are limited and other interventions or transport are needed.
  • CAPP circumferential abdominal-pelvic pressure
  • PASG inflatable pneumatic anti-shock garments
  • NSG neoprene non-inflatable anti-shock garments
  • Pneumatic anti-shock garments also called Military or Medical Anti-Shock Trousers
  • Mneumatic anti-shock garments were developed in the early 1900's to treat shock in surgical and battlefield patients. They were routinely used to treat trauma patients in the United States until the mid-1980's, when studies revealed slightly decreased survival rates in trauma patients using anti-shock garments in urban pre-hospital settings with quick transport to a trauma center.(6) Randomized controlled trials of PASG use for obstetric hemorrhage do not exist. Pneumatic anti-shock garments have been shown to decrease distal aortic blood flow by up to 90% (7) at the level of the superior mesenteric artery. Additionally, circumferential abdominal-pelvic pressure devices (NASG or PASG) deliver direct pressure to pelvic compartment organs and smaller blood vessels.
  • NSG circumferential abdominal-pelvic pressure devices
  • An illustrative embodiment of the present invention provides an inexpensive pneumatic pressure device that comprises a flexible wrapping panel having a shape for circumferential wrapping around a patient's body part, such as the lower torso, leg, etc.
  • the flexible panel includes releasable fastening elements for securing the wrapped panel around the patient's body part and further includes a pocket with an access opening through which an inflatable bladder is initially placed deflated in the pocket and then subsequently inflated after the panel is wrapped and secured around the patient's body part.
  • the inflatable bladder can be easily inserted into and removed from the pocket via the access opening.
  • the wrapping panel comprises an un-impregnated and substantially inelastic
  • the pocket can comprise a folded-over and sewn section of the panel when the panel comprises cloth material.
  • the pocket includes a second access opening for receiving a valve of the inflatable bladder.
  • the inflatable bladder can comprise a pneumatic tube, such as for example a bicycle tire tube with the usual valve.
  • a manual or other air pump, compressed air cartridge, compressed C0 2 cartridge, or other source of pressurized air or gas can be used to inflate the inflatable bladder after the panel is circumferentiallywrapped and secured around the patient's body part.
  • the invention also envisions a treatment kit including multiple such pneumatic pressure devices as described above for applying pressure to a patient's lower torso and each leg, if desired.
  • the present invention further envisions a method of applying pressure to a patient's body part by placing an inflatable bladder in the pocket of the flexible panel, placing the pocket of the flexible panel on the patient's body part, tightly circumferentially wrapping and securing the remainder of the flexible panel around the patient's body part, leaving a valve of the bladder accessible, and inflating the inflatable bladder in the pocket via the valve.
  • Another method embodiment envisions use of a ball, such as conventional sports ball (e.g. a soccer ball), as the inflatable bladder together with a covering that overlies the deflated ball on the abdomen and that can resist the pressure of the ball when it is inflated so that pressure is applied to the abdomen
  • a method embodiment involves placing a deflated ball on a patient's abdomen, covering the ball on the abdomen in a manner that resists outward pressure of the ball when it is inflated, and inflating the ball using any source of pressurized gas such as an air pump, compressed air cartridge, C0 2 cartridge, or other device to inflate the ball.
  • the present invention is advantageous in that it provides inexpensive, easy-to-use pneumatic anti-shock devices that can be used in low-resource countries or geographical regions by mid- level trauma and obstetric providers for emergency hemorrhage and anti-shock treatment.
  • the present invention is further advantageous in that it provides anti-shock devices that can be transported easily in difficult terrain by military personnel for emergency use in the care of wounded soldiers.
  • Figure 1 is a schematic view of a circumferential pneumatic pressure device pursuant to an illustrative embodiment of the invention ready to be wrapped around the patent's abdomen and pulled over a leg, the other leg being similarly treated but omitted for clarity.
  • Figures 2A and 2B are plan views of the outer side and inner side of the flexible abdomen panel of Figure 1, respectively, for wrapping around a patient's body part showing a pocket at one end of the rectangular-shaped panel with the pocket having a relatively large access opening for an inflatable bladder and a relatively small access opening for a valve of the inflatable bladder.
  • Figure 3 is a perspective view of the closed leg piece into which the patient's leg is inserted with the pocket tor the inflatable bladder and bladder itself shown in dashed lines.
  • Figures 3A and 3B are plan views of the outer side and inner side of the flexible leg panel of Figure 3, respectively.
  • Figure 4 is a schematic view of a circumferential pneumatic pressure device pursuant to another illustrative embodiment of the invention showing the inflatable bladder as comprising an inflatable ball with a pocket-less flexible panel ready to be wrapped around the patent's abdomen and the deflated ball as a covering.
  • a pressure device of the type shown in Figure 1 is shown pulled over a leg, the other leg being similarly treated but omitted for clarity.
  • Figures 4A and 4B are plan views of the outer side and inner side of the flexible abdomen panel of Figure 4, respectively, for wrapping around a patient's body part.
  • the present invention provides an inexpensive pneumatic pressure device especially useful for circumferential abdominal-pelvic compression to decrease pelvic blood flow from trauma or obstetric delivery complications, although the pneumatic anti-shock device is not limited to such uses.
  • a circumferential pneumatic pressure device pursuant to an illustrative embodiment of the invention is shown with the abdominal piece (panel) in position ready to be wrapped around the patent's abdomen and a leg inserted into a leg piece.
  • the pneumatic pressure device 10 for wrapping around the patent's abdomen is shown comprising a flexible wrapping panel 12 having a pocket 14 containing an inflatable bladder 16 shown in dashed lines since it is hidden inside the pocket 14.
  • the panel pocket 14 containing the inflatable bladder 16 is initially positioned on the patient's abdomen as shown with a remaining length 15 of the flexible panel 12 extending outwardly and ready to be circumferentially tightly wrapped around the abdomen and secured as described below by the care provider.
  • the pneumatic pressure device 20 for enclosing the patent's leg is shown comprising a closed tubular (e.g. cylindrical) panel 22 having a pocket 24 containing an inflatable bladder 26 shown in dashed lines since it is hidden inside the pocket 24.
  • the tubular panel 22 with the panel pocket 24 containing the inflatable bladder 26 is initially pulled over the patient's leg body part like a legging by the care provider. Although not shown for clarity, the other leg of the patient is similarly treated.
  • the pneumatic pressure device 10 for the patient's abdomen can be used sans the pneumatic pressure devices 20 for the patient's leg since the former alone has been found to decrease distal aortic blood flow in the pelvic region as much as it does with added leg compression.
  • the optional pneumatic pressure devices 20 for the legs can be used concurrently with the pneumatic pressure device 10 perhaps to decrease venous pooling or their use may be deferred until more crucial emergency treatment has been carried out.
  • the present invention envisions a treatment kit including the pneumatic pressure device 10 for abdominal aorta compression and two pneumatic pressure leg compression devices 20 so that the care provider will have a choice as to which to use in treating the patient.
  • the flexible panel 12 having a rectangular shape is illustrated having the pocket 14 at one end of the rectangular-shaped panel with the pocket having a relatively large access opening 14a for an inflatable bladder and a relatively smaller access opening 14b for the valve 16a of the inflatable bladder 16, which can comprise a mountain bike tire inner tube having a length of 26 inches and suitable diameter for purposes of illustration and not limitation.
  • the access openings 14a and 14b can have length dimensions of 8 inches and 2 inches, respectively, for such an illustrative mountain bike tire inner tube.
  • the length and width of the abdomen-encircling panel 12 can be 90 inches and 14 inches, respectively, with a pocket depth of 15 inches for purposes of illustration and not limitation.
  • the flexible leg-encircling tubular panel 22 can have a length and width of 60 inches and 24 inches, respectively, with a pocket depth of 12 inches with the same access opening lengths as abdomen- encircling panel 12 for the inflatable bladder 26 and its valve 26a for purposes of illustration and not limitation.
  • the panels 12 and 22 can be made of cloth, such as light canvas, or other suitable material which is strong but does not stretch easily.
  • the wrapping panel can comprise an un-impregnated and substantially inelastic
  • the panel material should be strong enough to avoid failure (e.g. tearing) when the bladder 16 or 26 is inflated to for example 45 psi (3 BAR). However, if strong panel material is not available, extra wraps of the panel around the patient's body part can be made to reduce the chance of panel failure when the bladder is inflated.
  • Figures 2A and 2B are plan views of the outer side and inner side of an exemplary flexible abdomen-encircling panel 12, respectively, which are hemmed with a 2 cm total allowance around its periphery.
  • a dashed line L is shown representing a fold line where the panel 12 is folded onto itself and sewn to form the pocket 14 with the exception of gaps that form the pocket access openings 14a, 14b, as shown in figure 2B. All seams are double-stitched for strength.
  • fastening loop strips 18 e.g.
  • VELCROTM loop strips are sewn onto the outer side of the panel 12 in positions shown for purposes of illustration so that the loop strips overlap and engage the fastening hook strips 19 when the panel 12 is wrapped tightly around the patient.
  • the fastening hook strips 19 are sewn (double stitched) onto the panel 12 in positions shown to this end.
  • Other fastening elements such as webbing straps or ties can be used in practice of the invention to secure the tightly wrapped abdomen-encircling panel 12, however.
  • FIG 2B the inner side of the folded panel 12 is shown wherein the inner side is placed against the patient's body part (e.g. abdomen).
  • the pocket 14 is shown having access opening 14a through which the inflatable bladder 16 is introduced and removed from the pocket and access opening 14b in which the valve 16a of the inflatable bladder 16 resides when the panel is wrapped.
  • Figure 3 is a perspective view of the tubular leg-encircling panel or piece 22 (after it is sewn shut in tubular shape) with the inflatable bladder 26 in pocket 24 shown in dashed lines in the panel pocket 24.
  • the panel 22 is hemmed (double stitched) with a 2.5 cm allowance around its periphery.
  • Figures 3A and 3B are plan views of the outer side and inner side of the flexible leg part 22 of Figure 3, respectively.
  • ends of the fastening loop strips 28 are sewn onto the end of the inner side 22a of the panel 22 in positions shown within the hemming allowance for purposes of illustration so as to leave free lengths of the fastening loop strips 28 to overlap and engage the fastening hook strips 29 when the part 22 is pulled over the patient's leg.
  • the fastening hook strips 29 are sewn (double stitched) onto outer side 22b of the panel 22 in positions shown.
  • Other fastening elements such as webbing or ties, can be used in practice of the invention to secure the leg piece 22, however.
  • the leg panel or piece 22 is then closed into a tubular (e.g. cylindrical) shape by sewing a seam from A - A' to B - B'
  • the pocket 24 can be formed by sewing (double stitched) a secondary pocket panel 22c onto the inner side 22a of the main panel 22 with the exception of gaps that form the access openings 24a and 24b for the inflatable bladder 26 and its valve 26a, respectively. Refer to details in Figure 3B.
  • An illustrative method embodiment of the present invention for applying compression to the patient's abdomen involves the care provider's placing a deflated bladder 16 in the pocket 14 of the flexible panel 12 and then placing the pocket 14 on the patient's abdomen, Figure 1. Then the remaining length 15 of the panel 12 is wrapped tightly and circumferentially around the abdomen and secured by engagement of the fastening elements 18, 19.
  • the bladder valve 16a is left accessible through the opening 14b so that the bladder can be inflated.
  • the inflatable bladder 16 then is inflated in the pocket 14 of the wrapped and secured panel 12 via bladder valve 16a using a hand air pump (not shown) or any other air pump until a desired pressure is achieved in the bladder, such as 45 psi (3BAR) for purposes of illustration and not limitation.
  • the amount of compression of the abdomen is controlled by controlling the amount of inflation pressure of the bladder and can be varied to suit the needs and comfort of the patient.
  • Inflation of the bladder is achieved by coupling an air pump end fitting (not shown) on the bladder valve 16a and pumping air into the bladder or by using a compressed air cartridge, compressed C0 2 cartridge or other pressurized gas source coupled to the bladder valve 16a.
  • the panels 12, 22 can be cleaned by laundering for reuse, while the bike tube can be cleaned in a mild bleach solution.
  • the inflatable bladder such as the bike inner tube is easily replaced if needed.
  • An illustrative method embodiment of the present invention for applying compression to the patient's leg involves similar steps as described above for applying pressure to the abdomen.
  • Another method embodiment of the invention envisions use of a ball, such as conventional sports ball 16' as the inflatable bladder together with a covering 1 1 ' that overlies the deflated ball 16' on the abdomen, extends substantially around the abdomen, and can resist the pressure of the ball when it is inflated so that pressure is applied to the abdomen, Figure 4.
  • the covering 1 1 ' can be made of any suitable material to this end which will resist the outward pressure of the ball 61 ' when inflated so as to apply pressure to the abdomen.
  • the covering 1 1 ' can be a wrapping panel 12' of the type described above sans the pocket. That is, a pocket-less, un-impregnated, permeable-to- air, substantially inelastic cloth wrapping panel 12' can be used.
  • the covering 11 ' is not limited to a wrapping panel 12' as described since any covering 1 1 ' can be used that can be provided over the ball 16' on the abdomen to resist the outward pressure of the ball 16' when it is inflated so that pressure is applied to the abdomen.
  • Figure 4 is a schematic view of a circumferential pneumatic pressure device wherein the inflatable bladder comprises an inflatable ball 16' and wherein a covering 1 1 'in the form of a pocket-less wrapping panel 12' is provided over the ball 16' and resists outward pressure of the ball 16' when it is inflated so that pressure is applied to the abdomen of the patient.
  • the ball 16' in the deflated state is initially positioned on the patient's abdomen as shown with a length of the panel 12' overlying the deflated ball and with a remaining length 15' of the panel 12' extending outwardly and ready to be
  • the panel includes fastening loop strips 18' and fastening hook strips 19', Figures 4 A, 4B, that are engaged after the panel 12' is tightly wrapped around the abdomen.
  • Any sturdy inflatable ball of spherical or other shape about 8 inches in diameter (or maximum dimension for an oblong ball) can be used for purposes of illustration and not limitation.
  • a particularly useful ball 16' comprises a sports ball such as a soccer ball.
  • the deflated ball 16' is placed on the patient's abdomen and then the flexible pocket-less panel 12'is tightly wrapped around the abdomen and ball and secured by fastening elements 18', 19' with the valve 16a' near the top edge (as shown) or bottom edge of the wrapped panel 12' and accessible for inflation by a suitable air pump, compressed air cartridge, C0 2 cartridge, or other device to inflate the ball to apply pressure to the abdomen.
  • a suitable air pump, compressed air cartridge, C0 2 cartridge, or other device to inflate the ball to apply pressure to the abdomen.
  • the covering 1 1 ' if cloth can be cleaned by laundering for reuse, while the ball 16' can be cleaned in a mild bleach solution.
  • the inflatable ball is easily replaced if needed.
  • An optional circumferential pressure device 20 of the type shown in Figure 1 is shown in Figure 4 pulled over a leg of the patient, the other leg being similarly treated but omitted for clarity.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

La présente invention concerne un dispositif de pression pneumatique peu coûteux et facile à utiliser comprenant un panneau flexible de tissu non imprégné et sensiblement non élastique ou autre matière ayant une forme pouvant envelopper une certaine partie du corps d'un patient ou la recouvrir, comme le ventre ou la jambe. Le panneau comprend des bandes de fixation pouvant être desserrées pour maintenir le panneau enveloppant en place autour de la partie du corps du patient et comprend en outre une poche dotée d'une ouverture d'accès à travers laquelle une vessie dégonflée est placée dans la poche puis gonflée en vue de l'application d'une pression contrôlée sur la partie du corps enveloppée. La vessie sur le ventre peut être conçue à l'aide d'un ballon gonflable auquel cas la poche n'est pas nécessaire et une couverture sur le ballon est utilisée de telle sorte qu'elle résiste à la pression vers l'extérieur du ballon au moment du gonflage. Des panneaux multiples formant un kit de traitement peuvent être utilisés pour appliquer une pression contrôlée sur le vendre et sur chaque jambe du patient.
PCT/US2013/000034 2012-02-15 2013-02-14 Dispositif de pression abdomen/bassin circonférentiel WO2013122681A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201261599229P 2012-02-15 2012-02-15
US61/599,229 2012-02-15

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WO2013122681A1 true WO2013122681A1 (fr) 2013-08-22

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9603602B2 (en) 2013-03-06 2017-03-28 Eastern Virginia Medical School Uterine compression devices and methods
CN112603623A (zh) * 2020-12-29 2021-04-06 温州医科大学附属第一医院 一种无创伤膝关节骨关节病矫治装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4270527A (en) * 1979-08-09 1981-06-02 Armstrong Industries, Inc. Inflatable trouser for medical use
US4355632A (en) * 1980-08-06 1982-10-26 Jobst Institute, Inc. Anti-shock pressure garment
US5259397A (en) * 1990-11-01 1993-11-09 Mccabe Francis J Foam counterpressure garment
US5368547A (en) * 1992-08-26 1994-11-29 Polando; Gordon Medical anti-shock appliance
US6626856B2 (en) * 2000-05-19 2003-09-30 The Research Foundation Of State University Of New York Semi-rigid pelvic compression splint for trauma

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4270527A (en) * 1979-08-09 1981-06-02 Armstrong Industries, Inc. Inflatable trouser for medical use
US4355632A (en) * 1980-08-06 1982-10-26 Jobst Institute, Inc. Anti-shock pressure garment
US5259397A (en) * 1990-11-01 1993-11-09 Mccabe Francis J Foam counterpressure garment
US5368547A (en) * 1992-08-26 1994-11-29 Polando; Gordon Medical anti-shock appliance
US6626856B2 (en) * 2000-05-19 2003-09-30 The Research Foundation Of State University Of New York Semi-rigid pelvic compression splint for trauma

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9603602B2 (en) 2013-03-06 2017-03-28 Eastern Virginia Medical School Uterine compression devices and methods
CN112603623A (zh) * 2020-12-29 2021-04-06 温州医科大学附属第一医院 一种无创伤膝关节骨关节病矫治装置
CN112603623B (zh) * 2020-12-29 2022-09-02 温州医科大学附属第一医院 一种无创伤膝关节骨关节病矫治装置

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